| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,017 |
1,909 |
$25K |
| 99305 |
|
1,356 |
1,352 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
412 |
392 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,488 |
1,444 |
$20K |
| 92341 |
|
947 |
926 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
444 |
442 |
$15K |
| 92250 |
|
1,537 |
1,499 |
$15K |
| 92202 |
|
2,062 |
2,013 |
$10K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,208 |
1,205 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
902 |
530 |
$9K |
| 99306 |
Prolong nursin fac eval 15m |
353 |
351 |
$8K |
| 92015 |
Determination of refractive state |
3,878 |
3,796 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
132 |
129 |
$7K |
| 92370 |
|
907 |
868 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
262 |
171 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95 |
95 |
$4K |
| 76514 |
|
900 |
809 |
$2K |
| 92226 |
|
195 |
110 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
29 |
17 |
$129.08 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
146 |
145 |
$5.42 |
| 1036F |
|
1,484 |
1,470 |
$0.00 |
| 3072F |
|
27 |
27 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,603 |
1,585 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
696 |
686 |
$0.00 |